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MR. JEFFREY D.T. CARROLL PAC
NPI 1285169698
Physician Assistant - Medical in Mount Vernon, WA

Active since April 23, 2017PECOS EnrolledAccepts Medicare Assignment
307 S 13TH ST STE 300, MOUNT VERNON, WA 98274(360) 336-9757(360) 814-5237 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Apr 23, 2017 (2 updates tracked since 2017).

About Mr. Jeffrey D.t. Carroll Pac NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JEFFREY D.T. CARROLL PAC (NPI 1285169698) is an individual medical provider in Mount Vernon, Washington, licensed in Washington (PA60794256) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Whidbeyhealth Medical Center, and maintains a secondary practice location in Arlington.

NPPES Registry Identity

NPI1285169698
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. JEFFREY D.T. CARROLLCredential: PAC
Location Address307 S 13TH ST STE 300Mount Vernon, WA 98274-4100
Mailing Address1400 E. Kincaid Street, Attn: CredentialingMount Vernon, WA 98274-4127 · (360) 428-2500 · Fax (360) 428-6485
Phone(360) 336-9757
Fax(360) 814-5237
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 23, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1285169698 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in WA · PA60794256
Also ListedPhysician AssistantTaxonomy 363A00000X · License PA60794256 (WA)
307 S 13TH ST STE 300, Mount Vernon, WA 98274
Open in Google Maps ↗

Secondary Practice Location 1

Location 13823 172nd St NEArlington, WA 98223-7735 · Phone (360) 618-5000 · Fax (360) 657-8750

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Jeffrey D.t. Carroll Pac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163798711
PECOS Enrollment IDI20171025003361
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Whidbeyhealth Medical Center

Critical Access Hospitals · Coupeville, WA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501339
Location101 North Main StreetCoupeville, WA 98239 · Island County
Emergency services

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GRAHAM MEEKS
Nurse Practitioner
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 336-9757
KARA JOAN HAWKER FNP-C
Nurse Practitioner (Family)
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 336-9757
FEDOR VYACHESLAVOVICH TORCHILO DNP
Nurse Practitioner (Acute Care)
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 336-9757
RAYMOND WILLIAM WEINRICH PA-C
Physician Assistant (Medical)
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 336-9757
BRITTA GREENWALD RD
Dietitian, Registered
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 848-8500
AFFAN HALEEM MD
Internal Medicine (Clinical Cardiac Electrophysiology)
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 336-9757
THEODORE D HEGG M.D.
Specialist
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 336-9757
BLAKE C ARNEY PA-C
Physician Assistant (Medical)
307 S 13TH ST STE 300
MOUNT VERNON, WA 98274
Skagit County (360) 542-3938

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Carroll's NPI number?

The NPI number for Jeffrey Carroll is 1285169698. It was assigned to this individual provider in the NPPES registry on April 23, 2017.

Where is Jeffrey Carroll located?

Jeffrey Carroll practices at 307 S 13th St Ste 300, Mount Vernon, WA 98274. The listed phone number is (360) 336-9757.

What is Jeffrey Carroll's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Jeffrey Carroll enrolled in Medicare?

Yes. Jeffrey Carroll is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jeffrey Carroll accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Jeffrey Carroll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jeffrey Carroll affiliated with any hospitals?

According to CMS data, Jeffrey Carroll is affiliated with Whidbeyhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Carroll was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.